协同护理模式对肺结核合并糖尿病患者应用效果

Effect of Collaborative Nursing Mode on Tuberculosis Patients with Diabetes Mellitus

目的探析对肺结核合并糖尿病患者实施协同护理模式对其治疗效果的影响,形成有效诊治肺结核合并糖尿病的良好前提。方法随机选择该院于2017年6月—2018年2月间收治的86例肺结核合并糖尿病患者作为研究对象,应用随机数字表法将其分为协同护理组和常规干预组,分别采用常规护理模式和协同护理模式对两组患者进行干预,并比较两组患者的自我效能感、肺结核疗效、血糖控制情况、自我护理行为以及生活质量。结果协同护理组患者在护理后的自我效能感评分为(24.33±2.09)分优于常规护理模式的(31.06±2.49)分,差异有统计学意义(t=5.453, P<0.05)。协同干预组患者的肺结核病灶吸收率为90.69%(39/43),常规干预组患者的肺结核病灶吸收率为60.46%(26/43),两组对比差异有统计学意义(χ~2=10.648,P<0.05)。常规干预组患者的血糖控制率为58.13%(25/43),协同护理组患者的血糖控制率为95.35%(41/43),两组对比差异有统计学意义(χ~2=16.679,P<0.05)。自我护理达标情况、以及生活质量评分各项均要优于常规护理模式,差异有统计学意义(P<0.05)。结论对肺结核合并糖尿病患者实施协同护理模式能有效提升患者的自我效能、促进患者病灶的吸收、痰菌转阴,提高血糖的控制率,进一步提高患者自我护理能力与生活质量.

Objective To analyze the effect of collaborative nursing mode on the treatment effect of pulmonary tuberculosis patients with diabetes,and to form a good premise for effective diagnosis and treatment of tuberculosis with diabetes.Methods Random select 86 patients with pulmonary tuberculosis and diabetes who were admitted to our hospital from June 2017 to February 2018 were enrolled in the study.They were randomly divided into the collaborative care group and the intervention group,using conventional nursing mode and the collaborative care model intervened in the two groups and compared the self-efficacy,tuberculosis efficacy,glycemic control,self-care behavior and quality of life between the two groups.Results The self-efficacy score of the patients in the collaborative care group was(24.33±2.09)points better than that of the conventional nursing model(31.06±2.49)points,and the difference was statistically significant(t=5.453,P<0.05).The rate of pulmonary tuberculosis was 90.69%(39/43)in the patients in the intervention group and 46.51%(26/43)in the conventional intervention group.The difference between the two groups was statistically significant(χ~2=10.648,P<0.05).The blood glucose control rate was 58.13%(25/43)in the routine intervention group and 95.35%(41/43)in the co-operative group.The difference between the two groups was statistically significant(χ~2=16.679,P<0.05).Self-care compliance and quality of life scores were better than conventional care patterns,and the difference was statistically significant(P<0.05).Conclusion The implementation of the collaborative nursing mode for patients with pulmonary tuberculosis and diabetes can effectively improve the patient’s self-efficacy,promote the absorption of the patient’s lesions,reduce the sputum,reduce the control rate of blood glucose,and further improve the patient’s self-care ability and quality of life.